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DEFINE RULES FOR EACH FACTOR
DEFINE HIGH RISK FACTORS
DEFINE RISK LEVELS & AVAILABLE SOURCES
DEFINE DATA ELEMENTS & SOURCES FOR FACTORS
• Medium Risk Outpatient
• Low Risk Outpatient
• High Risk + Inpatient/Specialized Care Needs
• High Risk Outpatient
• Chronic Medical Conditions & Degree of Control
• Hospitalizations/Emergency Dept. Encounters
• 4 or more conditions; >1 problem prone condition
• Advanced Age- >65
• Problem List Entries
• Custody Demographic Information
• Age
• Medications
• Polypharmacy (12+ Medications)
• 2+ Hospital/3+ ED Encounters
• Pharmacy and Diagnostic Information Systems
• Claims Data
H O W U S E R S S U P P O R T E D S O L U T I O N
& W O R K F L O W D E V E L O P M E N T